NPI | 1043343692 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 91411) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN MD042162) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2024-05-03 |