| NPI | 1316112733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A108148) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: CA A108148) |
| 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: CA A108148) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: CA A108148) | |
| Enumeration Date | 2008-04-26 |
| Last Update Date | 2019-05-10 |