NPI | 1689236358 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: MI 4301511365) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301511365) |
Enumeration Date | 2019-07-02 |
Last Update Date | 2024-08-06 |