NPI | 1790822054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0052207) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2010005843) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2013-08-14 |