NPI | 1689162661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 72465) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 7593-851) |
Enumeration Date | 2018-04-25 |
Last Update Date | 2023-06-23 |