| NPI | 1801056247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: NC 2016-00806) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2016-00806) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2024-02-14 |