| NPI | 1003915778 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CT 000408) | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 000408) | 
| Enumeration Date | 2006-09-21 | 
| Last Update Date | 2024-09-13 |