NPI | 1760495907 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 9855) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 00009519) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2019-04-17 |