NPI | 1790993590 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A117880) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 254024-1) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 16168) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: FL TPME1949) | |
Enumeration Date | 2007-05-18 |
Last Update Date | 2023-09-06 |