NPI | 1154540516 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D70743) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 390200000X) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2017-04-10 |