NPI | 1386783306 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: TX P1937) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX p1937) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2015-09-16 |