NPI | 1962471441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0026606) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0046355) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD20979) | |
Enumeration Date | 2006-03-16 |
Last Update Date | 2024-01-12 |