NPI | 1619032190 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01052746A) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 34140) |
Enumeration Date | 2006-12-26 |
Last Update Date | 2018-10-16 |