NPI | 1649257452 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX E6071) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX E6071) |
Enumeration Date | 2005-12-22 |
Last Update Date | 2010-06-30 |