NPI | 1144783580 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: OR MD219687) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD219687) |
Enumeration Date | 2019-04-11 |
Last Update Date | 2025-08-04 |