NPI | 1629680145 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MN 66382) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 66382) |
Enumeration Date | 2020-08-17 |
Last Update Date | 2023-01-26 |