| NPI | 1881856342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0054238) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX n9612) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2016-08-19 |