NPI | 1417927906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101230712) |
Additional Taxonomies | 174400000X Specialist (Licence: VA 0101230712) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2023-02-09 |