| NPI | 1558480087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 51997) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: MN 51997) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 104427) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2021-04-12 |