| NPI | 1760534630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME0073757) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0073757) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-10-05 |