NPI | 1285297135 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A195200) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA HS000240L) |
Enumeration Date | 2019-04-17 |
Last Update Date | 2024-10-03 |