NPI | 1386864734 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X (Licence: CA A94400) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A94400) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2023-11-10 |