NPI | 1245436955 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 52158) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092121) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2016-01-29 |