NPI | 1083027403 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-43886) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA R-09971) |
Enumeration Date | 2014-06-03 |
Last Update Date | 2018-07-09 |