| NPI | 1053727396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: GA 81862) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: WI 65211-20) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2024-01-25 |