NPI | 1811000227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301050339) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 786) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2023-05-30 |