NPI | 1417152042 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A100322) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD.206966) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2023-04-28 |