NPI | 1851770861 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 1.062844-RES) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107709) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MT210416) | |
Enumeration Date | 2015-05-22 |
Last Update Date | 2020-09-07 |