NPI | 1295354751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: DE C1-0027409) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0027409) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0103207) | |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MD D0103207) | |
Enumeration Date | 2020-04-14 |
Last Update Date | 2025-08-15 |