NPI | 1801873922 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 26957) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 18450) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2020-08-14 |