NPI | 1619929080 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 023313) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: LA 023313) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2013-06-11 |