NPI | 1477791879 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D74128) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD 23455) |
Enumeration Date | 2009-01-23 |
Last Update Date | 2013-02-01 |