NPI | 1356962534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NH 34061) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075467) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125.075467) | |
Enumeration Date | 2020-04-29 |
Last Update Date | 2025-08-19 |