NPI | 1114943990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: LA MD.013686) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 013686) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2024-03-11 |