| NPI | 1134789233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: OH 35.149944) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01089522A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.149944) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023032157) | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2024-05-17 |