NPI | 1700841327 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 53507) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35084656) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2014-04-16 |