NPI | 1427169283 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 09401R) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 9734) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2008-11-04 |