| NPI | 1952745440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 17901) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME130183) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036162418) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A174349) | |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2025-06-16 |