NPI | 1477082022 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 23531) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI LP04004) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2023-05-24 |