NPI | 1538158688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301081829) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 4301081829) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2024-02-08 |