NPI | 1699844092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0061395) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD034726) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2016-07-26 |