NPI | 1467663963 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA C134501) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 45748) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2023-05-12 |