| NPI | 1033479878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME MD29131) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: ME MD29131) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD.208015) | |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2025-03-13 |