NPI | 1427094515 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA L#06473R) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 06473R) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2012-11-07 |