NPI | 1124414164 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101269518) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: VA 0101269518) |
2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: VA 0101269518) | |
Enumeration Date | 2015-04-07 |
Last Update Date | 2022-06-08 |