NPI | 1437598208 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 69255) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2025-00583) |
Enumeration Date | 2013-06-14 |
Last Update Date | 2025-03-10 |