NPI | 1821350265 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A143575) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-252926) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2018-05-07 |