NPI | 1386669190 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G20300) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA G20300) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2009-08-28 |