NPI | 1487131561 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 100571) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R77088) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ R77088) | |
Enumeration Date | 2018-07-23 |
Last Update Date | 2024-10-11 |