| NPI | 1235274911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D65535) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MD D65535) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MD D65535) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-04-20 |