NPI | 1982618476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 12102) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI 10766) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2014-02-14 |