NPI | 1275591976 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.083358) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD426120) |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: PA MD426120) | |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: OH 35.083358) | |
Enumeration Date | 2006-05-02 |
Last Update Date | 2022-07-21 |