NPI | 1396030052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR DO173570) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA DO-05080) |
Enumeration Date | 2011-06-10 |
Last Update Date | 2023-02-27 |