| NPI | 1891844577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX H7663) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2025-06-27 |