| NPI | 1083714786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 41232) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 08852) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: IA 41232) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-10-16 |