| NPI | 1982848123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 52028) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 9093537-1205) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2024-05-16 |