NPI | 1407837396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (Licence: NY 146475) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 146475) |
Enumeration Date | 2005-11-08 |
Last Update Date | 2021-05-06 |