NPI | 1538105754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MO 2011018911) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: KS 0435167) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2024-03-28 |