| NPI | 1740732528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 029436) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: CT 029436) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |