NPI | 1558656686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301509148) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D82062) |
Enumeration Date | 2011-06-16 |
Last Update Date | 2023-06-29 |