NPI | 1952589590 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 239688) |
Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: MO 2004030349) |
Enumeration Date | 2008-02-06 |
Last Update Date | 2011-03-11 |