NPI | 1134233794 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IA DO-01802) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IA 01802) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2014-03-28 |