NPI | 1740414457 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101245519) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01066526A) |
Enumeration Date | 2009-05-08 |
Last Update Date | 2012-06-01 |