NPI | 1508027574 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS016435) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 250448) |
Enumeration Date | 2008-06-22 |
Last Update Date | 2018-04-20 |