NPI | 1851820567 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2023-02209) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS20160) |
2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: NC 2023-02209) | |
Enumeration Date | 2017-06-06 |
Last Update Date | 2024-11-08 |