NPI | 1457613135 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 129558) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251635) |
Enumeration Date | 2012-06-08 |
Last Update Date | 2014-04-29 |