NPI | 1881639581 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX K9606) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K9606) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2024-08-08 |