NPI | 1710956289 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0041853) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 41853) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2022-06-28 |