NPI | 1184004046 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD048563) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0089902) |
Enumeration Date | 2015-06-05 |
Last Update Date | 2025-06-09 |