| NPI | 1073610663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MO R5B52) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-29006) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO R5B52) | |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2022-08-16 |