NPI | 1699977132 |
---|---|
Former Name | BACHIR ESTEPHAN DAJDAJ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 52808) |
Additional Taxonomies | 174400000X Specialist (Licence: MN 53797) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2021-11-16 |