NPI | 1295364008 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5151014375) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 5101027876) |
Enumeration Date | 2020-04-03 |
Last Update Date | 2024-05-20 |