NPI | 1659544286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 267537-1) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO R5P79) |
Enumeration Date | 2008-04-03 |
Last Update Date | 2012-11-20 |