| NPI | 1891172557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 20516) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264573) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2020-06-08 |