NPI | 1093808107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 29410) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TN 29410) |
2085N0700X Radiology, Neuroradiology (Licence: TN 29410) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2024-04-19 |