NPI | 1831610815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-13791) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301509621) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: RI MD20290) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 286522) | |
Enumeration Date | 2017-06-29 |
Last Update Date | 2025-09-30 |