NPI | 1376070250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.148809) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A172416) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2023-09-27 |