NPI | 1538352430 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101245264) |
Additional Taxonomies | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: VA 0101245264) |
Enumeration Date | 2007-08-23 |
Last Update Date | 2022-06-08 |