NPI | 1215355920 |
---|---|
Former Name | SOMMER EBDLAHAD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2018-01038) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101267294) |
Enumeration Date | 2014-03-31 |
Last Update Date | 2022-11-22 |