| NPI | 1669977997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0066615) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO DR.0066615) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2023-07-06 |