NPI | 1225262140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CT 73790) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 072092) |
Enumeration Date | 2009-05-06 |
Last Update Date | 2023-08-25 |