| NPI | 1184008211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D98474) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: OH 35.135878) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.135878) | |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2023-12-15 |