| NPI | 1073685376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: OH 35.129825) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA md427693) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-10-28 |