NPI | 1275515918 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD173687) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 043292) |
Enumeration Date | 2005-11-17 |
Last Update Date | 2020-10-15 |