| NPI | 1962841593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0062029) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC LL35748) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME131298) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2021-08-27 |