NPI | 1174726749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 59348) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 059348) |
Enumeration Date | 2007-06-08 |
Last Update Date | 2018-01-04 |