NPI | 1184710477 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: TX H3840) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX H3840) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2016-12-19 |