NPI | 1457534745 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MD D0076715) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 045669) |
Enumeration Date | 2007-12-10 |
Last Update Date | 2013-10-18 |