| NPI | 1780248112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0026690) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0099784) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-06-25 |