NPI | 1992773246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME058230) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ME058230) |
Enumeration Date | 2006-03-11 |
Last Update Date | 2013-10-22 |