NPI | 1043691660 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2019-00915) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2019-00915) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2024-07-15 |