NPI | 1053678342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: ID M-13696) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M-13696) |
Enumeration Date | 2012-04-12 |
Last Update Date | 2019-04-08 |