NPI | 1134507437 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD H95108) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 299250) |
Enumeration Date | 2015-05-07 |
Last Update Date | 2022-10-03 |