NPI | 1992716435 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G79459) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA G79459) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2010-07-29 |