| NPI | 1295907178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX R3976) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: NY 249993) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2023-08-29 |