| NPI | 1316069883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MD D0056679) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: MD D0056679) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2012-09-05 |