NPI | 1407297005 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A149857) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IN 01080969A) |
2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging (Licence: CA A149857) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01080969A) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: SC LL36095) | |
2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA A149857) | |
Enumeration Date | 2013-07-11 |
Last Update Date | 2020-10-15 |