NPI | 1982344891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR PG216076) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC LL87670) |
Enumeration Date | 2022-03-30 |
Last Update Date | 2023-06-01 |