| NPI | 1306020995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD.010691) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: LA MD.010691) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: LA MD.010691) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2009-07-12 |