NPI | 1558359943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME109155) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 23234) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01029809) | |
Enumeration Date | 2005-10-10 |
Last Update Date | 2022-09-13 |