NPI | 1477670255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD155138) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 221165) |
Enumeration Date | 2007-03-25 |
Last Update Date | 2012-05-31 |