NPI | 1396737912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 18480) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IA 18480) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2020-02-19 |