NPI | 1336138494 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD024239) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME105363) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2021-03-25 |