| 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 |