NPI | 1710488366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: NE 2125) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 2125) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS20729) | |
Enumeration Date | 2018-02-27 |
Last Update Date | 2024-01-30 |