NPI | 1679716195 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CT 052158) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: CT 052158) |
Enumeration Date | 2009-04-14 |
Last Update Date | 2024-03-27 |