| NPI | 1841383924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301087025) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 00027592) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5315052552) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-09-14 |