NPI | 1669652533 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 9542) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-7489) |
Enumeration Date | 2007-11-08 |
Last Update Date | 2019-06-04 |