NPI | 1609888270 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 48746) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 48746) |
Enumeration Date | 2006-08-12 |
Last Update Date | 2020-08-20 |