NPI | 1043848336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 104486) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 1.082209) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2025-09-19 |