| NPI | 1992713234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS9051) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2022044400) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS008896L) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR DO213896) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-02-19 |