NPI | 1093192486 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0066317) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 169237) |
Enumeration Date | 2015-05-05 |
Last Update Date | 2025-01-09 |