NPI | 1316904238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MO R7656) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: KS 0427275) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2024-05-28 |