NPI | 1619001633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CO DR.0050420) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR LL15994) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0050420) | |
Enumeration Date | 2007-03-14 |
Last Update Date | 2016-08-19 |