NPI | 1750811428 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101272773) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MT213344) |
Enumeration Date | 2017-06-15 |
Last Update Date | 2023-10-02 |