NPI | 1235392747 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 9574901-1205) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 246335) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2021-10-01 |