NPI | 1043051980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 80690) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 34463) |
Enumeration Date | 2024-06-04 |
Last Update Date | 2025-08-20 |