NPI | 1073964847 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.141075) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 54930) |
Enumeration Date | 2016-06-23 |
Last Update Date | 2024-11-14 |