NPI | 1235247669 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 60036) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 232805) |
Enumeration Date | 2006-08-27 |
Last Update Date | 2014-03-17 |