NPI | 1982923785 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q9271) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244435) |
Enumeration Date | 2010-05-19 |
Last Update Date | 2016-08-18 |