NPI | 1659395713 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD427536) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 002597) |
207R00000X Internal Medicine (Licence: PA MD427536) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2016-07-18 |