| NPI | 1659521565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P2896) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0070495) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD038570) | |
| Enumeration Date | 2008-09-27 |
| Last Update Date | 2012-06-12 |