NPI | 1750369427 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 29765) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MN 29765) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2020-08-18 |