NPI | 1154330157 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KY 40453) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: KY 40453) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2016-04-20 |