NPI | 1275100406 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 104500) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX BP10076982) |
Enumeration Date | 2021-06-07 |
Last Update Date | 2025-05-28 |