NPI | 1346691409 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E15584) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 39088) |
Enumeration Date | 2016-06-29 |
Last Update Date | 2025-03-11 |