NPI | 1306844220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MA 79586) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 79586) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2019-06-24 |