NPI | 1770897050 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-10505) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 279941) |
Enumeration Date | 2010-07-29 |
Last Update Date | 2022-07-21 |