NPI | 1568515039 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: CA A76229) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A76229) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2024-04-02 |