NPI | 1245245927 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD069707L) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX L2941) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2019-10-30 |