NPI | 1427463942 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 30855) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 7292) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2023-01-17 |