NPI | 1295963791 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023039486) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 0451746) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 89685) | |
Enumeration Date | 2009-06-24 |
Last Update Date | 2025-09-18 |