| NPI | 1295719920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 166703) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2011-00086) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NC 2011-00086) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2024-10-25 |