| NPI | 1124374442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C183670) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 23929) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MS 23929) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2023-06-06 |