NPI | 1669098851 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 38308) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 12086) |
Enumeration Date | 2020-06-23 |
Last Update Date | 2021-09-13 |