NPI | 1629331855 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: DE C1-0026227) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD456828) |
Enumeration Date | 2012-06-21 |
Last Update Date | 2024-03-05 |