NPI | 1194384024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2024-01569) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5151013602) |
Enumeration Date | 2019-06-13 |
Last Update Date | 2024-08-19 |