NPI | 1437135084 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 51145) |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: TN 51145) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 310245) | |
Enumeration Date | 2005-12-15 |
Last Update Date | 2023-04-25 |