NPI | 1578856159 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0062521) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS19628) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2016-01799) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 338240) | |
208D00000X General Practice (Licence: WA 1014) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023047856) | |
Enumeration Date | 2011-05-16 |
Last Update Date | 2024-01-02 |