NPI | 1871511238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NY 203356) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01086705A) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 203356) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2022-10-17 |