NPI | 1134116270 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 49677) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 6606) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2007-07-09 |