| NPI | 1184668501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 27994) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 052958) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: AL 27994) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-03-30 |