NPI | 1396748075 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX F6701) |
Additional Taxonomies | 2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging (Licence: TX F6701) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2009-06-27 |