NPI | 1417949751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 21116) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 35573) |
Enumeration Date | 2005-08-22 |
Last Update Date | 2021-09-30 |