| NPI | 1619916855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0007866) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0063120) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C10007866) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2025-07-22 |