NPI | 1952745440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 17901) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME130183) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036162418) | |
Enumeration Date | 2013-04-26 |
Last Update Date | 2024-08-19 |