| NPI | 1992744163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 43659) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID 9971268) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2025-09-25 |