NPI | 1871528042 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX H8048) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX H8048) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2023-08-01 |