NPI | 1225488711 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: DE C1-0024990) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0024990) |
Enumeration Date | 2016-06-15 |
Last Update Date | 2023-01-31 |