NPI | 1194068031 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A132420) |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: CA A132420) |
Enumeration Date | 2013-03-28 |
Last Update Date | 2022-09-20 |