NPI | 1740743558 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MD D0097948) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IA R-11420) |
Enumeration Date | 2019-04-09 |
Last Update Date | 2023-06-28 |