NPI | 1154461531 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: OH 35098202) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME166109) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301112703) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: ME 018601) | |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MI 4301112703) | |
Enumeration Date | 2007-02-07 |
Last Update Date | 2024-02-27 |