NPI | 1558393991 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101056711) |
Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: VA 0101056711) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2024-06-06 |