NPI | 1295783132 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 230926-1) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 230926-1) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2020-02-28 |