NPI | 1821521667 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2021-00989) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME164939) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 97793) | |
Enumeration Date | 2017-04-08 |
Last Update Date | 2024-01-29 |