NPI | 1659488989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD202981) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME64405) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME64405) | |
Enumeration Date | 2006-08-24 |
Last Update Date | 2021-09-23 |