NPI | 1578050399 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 91655) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS T-3607) |
Enumeration Date | 2018-04-17 |
Last Update Date | 2022-07-01 |