NPI | 1922414796 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A16208) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS15149) |
Enumeration Date | 2014-07-01 |
Last Update Date | 2020-11-18 |