| NPI | 1144422544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 50338) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MN 50338) |
| 2084N0600X (Licence: MN 50338) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2024-08-23 |