| NPI | 1982606406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0017772) |
| Additional Taxonomies | 2084N0600X (Licence: MD DD0017772) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2022-11-21 |