NPI | 1093377574 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A182027) |
Additional Taxonomies | 2084N0600X (Licence: CA A182027) |
Enumeration Date | 2019-07-03 |
Last Update Date | 2025-09-11 |