NPI | 1619130945 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 57043) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 106795) |
Enumeration Date | 2008-07-07 |
Last Update Date | 2013-09-17 |