| NPI | 1073542676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CA A74022) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A74022) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A74022) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-02-13 |