NPI | 1376171751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 2532) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 2532) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2024-06-10 |