NPI | 1184695702 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 33469) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 33469) |
Enumeration Date | 2006-01-31 |
Last Update Date | 2007-07-08 |