NPI | 1144519000 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA C183435) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 54930) |
Enumeration Date | 2011-03-31 |
Last Update Date | 2023-01-31 |