NPI | 1104928209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A103894) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A103894) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2010-11-17 |