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: NC 2025-00074) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MT MED-PHYS-LIC-113005) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 169237) | |
Enumeration Date | 2015-05-05 |
Last Update Date | 2025-05-16 |