| NPI | 1093968265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 71204791205) |
| Additional Taxonomies | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: TX 42482) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX 42482) | |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2021-11-08 |