NPI | 1427468784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2019-00205) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NC 2019-00205) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 36284) | |
Enumeration Date | 2014-05-07 |
Last Update Date | 2024-02-13 |