NPI | 1225004674 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD424344) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD424344) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2008-04-02 |