NPI | 1366576803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0055311) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC 14957) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2007-07-08 |