NPI | 1477649531 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SD 7354) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 38576) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2011-01-13 |