| NPI | 1245683226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 291557) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MO 2020017661) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MA 291557) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2020017661) | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2022-11-16 |