NPI | 1013117332 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD440317) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MT191425) |
Enumeration Date | 2007-07-24 |
Last Update Date | 2016-09-01 |