| NPI | 1841382892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301405130) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MI 4301405130) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-03-09 |