NPI | 1740240027 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 41412) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD00040769) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2022-07-14 |