NPI | 1124414438 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: UT 11262222-1205) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 1124414438) |
Enumeration Date | 2015-04-13 |
Last Update Date | 2021-10-19 |