| NPI | 1962471441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0026606) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0046355) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD20979) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2024-01-12 |