NPI | 1952452583 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 38494) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: KY 38494) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2024-12-28 |