NPI | 1992812978 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0600X (Licence: TX M0033) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M0033) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2025-09-11 |