NPI | 1942360813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q5783) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q5783) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2016-08-22 |