NPI | 1750327482 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 042289) |
Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CT 042289) |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CT 042289) | |
Enumeration Date | 2006-06-21 |
Last Update Date | 2009-05-30 |