NPI | 1043226061 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME66421) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME66421) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2014-02-07 |