NPI | 1295715456 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 110311) |
Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NY 110311) |
207R00000X Internal Medicine (Licence: MD 110311) | |
Enumeration Date | 2006-01-21 |
Last Update Date | 2012-07-27 |