| NPI | 1285897702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301092160) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301092160) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MI 4301092160) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2013-07-26 |