NPI | 1952830416 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI LP04002) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04002) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2022-07-08 |