| NPI | 1215190681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: FL ME150782) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD p22782) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MO 2018010298) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D78235) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD042598) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2018010298) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME150782) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MD D78235) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: DC MD042598) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2023-05-24 |