| NPI | 1255382065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G18144) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: CA G18144) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2023-11-07 |