NPI | 1851518138 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 26303) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 244424) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2011-08-04 |