NPI | 1427411537 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 36698) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY C1494) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2024-03-14 |