| NPI | 1962664615 |
|---|---|
| Former Name | EMITSEILU KEVIN ILUONAKHAMHE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P6648) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 003058) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2016-05-24 |