NPI | 1891723284 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN MD0000028134) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 21012) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME147120) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 042229) | |
Enumeration Date | 2006-06-28 |
Last Update Date | 2023-01-04 |