| NPI | 1841466711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD424885) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: HI MD-16179) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2020-07-30 |