NPI | 1225133911 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME124366) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 162454) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2023-05-17 |