NPI | 1215319710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 86603) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 55785) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.152567) | |
207R00000X Internal Medicine (Licence: IL 036.152567) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2022-00067) | |
Enumeration Date | 2015-06-22 |
Last Update Date | 2024-10-11 |