| NPI | 1295860237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: NY 235688) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 235688) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2021-12-01 |