| NPI | 1760585061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-38568) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 31270) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME94041) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-09-30 |