NPI | 1275691057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0062599) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 212082-1) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD035293) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101243138) | |
Enumeration Date | 2006-12-05 |
Last Update Date | 2012-04-30 |