NPI | 1518452648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2022014802) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018022151) |
Enumeration Date | 2018-07-01 |
Last Update Date | 2022-06-07 |