NPI | 1558717645 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OK 43761) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MN 79029) |
Enumeration Date | 2016-05-09 |
Last Update Date | 2025-04-18 |