NPI | 1659663136 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA a114731) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0060109) |
Enumeration Date | 2011-05-03 |
Last Update Date | 2024-10-15 |