NPI | 1013951029 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301067690) |
Additional Taxonomies | 174400000X Specialist (Licence: 4301067690) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2021-01-21 |