NPI | 1891082632 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: NY 276460) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 276460) |
Enumeration Date | 2011-06-30 |
Last Update Date | 2020-03-12 |