NPI | 1932547163 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301114106) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A134766) |
Enumeration Date | 2013-06-10 |
Last Update Date | 2019-01-08 |