NPI | 1437643004 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A177584) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT216613) |
Enumeration Date | 2018-06-18 |
Last Update Date | 2022-09-27 |