NPI | 1952720104 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: AZ 73815) |
Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: TX T1068) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T1068) | |
208D00000X General Practice (Licence: NE 28833) | |
Enumeration Date | 2014-04-15 |
Last Update Date | 2025-02-05 |