| NPI | 1922171099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G85366) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: HI 13015) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-23 |