NPI | 1881740322 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: RI MD09945) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 35075) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2007-07-08 |