NPI | 1740397017 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 23344) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-46370) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2022-09-02 |