| NPI | 1770804346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MD H0071679) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: VA 0102204990) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 6021) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2025-06-13 |