NPI | 1881856078 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 73648) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 237037) |
2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging (Licence: NY 264179) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 264179) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 158060) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 53133) | |
Enumeration Date | 2008-06-28 |
Last Update Date | 2023-09-13 |