| NPI | 1750733325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: CA A172021) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA F 440) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A172021) | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2024-09-25 |