| 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 |