| NPI | 1083935811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NV DO1855) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: NV SL0742) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2023-08-18 |