| NPI | 1902548159 |
|---|---|
| Former Name | PHILION LUCAS GATCHOFF |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 39397) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A207178) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2026-02-19 |