NPI | 1275741647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301081479) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MI 4301081479) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2017-10-11 |