| NPI | 1992941181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KS 94-07117) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: KS 04-36168) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2017-02-07 |