| NPI | 1134100175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301072871) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: MI 4301072871) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MI 4301072871) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MI 4301072871) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MI 4301072871) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301072871) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2021-04-06 |