| NPI | 1093377574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A182027) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019024791) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A182027) | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2024-07-11 |