| NPI | 1780998229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X (Licence: GA 75965) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 075965) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2022-12-22 |