NPI | 1124374442 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C183670) |
Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MS 23929) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 23929) | |
Enumeration Date | 2012-07-24 |
Last Update Date | 2024-08-29 |