NPI | 1710184627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MA 239763) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 49939) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 239763) | |
Enumeration Date | 2007-07-03 |
Last Update Date | 2015-01-21 |