| NPI | 1841288255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: MD D0051665) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC 34275) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 89241) | |
| 2084N0600X (Licence: AZ 68447) | |
| 2084N0600X (Licence: SC 89241) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2025-07-01 |