NPI | 1437125838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084H0002X (Licence: CA G31391) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G31391) |
Enumeration Date | 2006-02-24 |
Last Update Date | 2021-03-31 |