| NPI | 1316942022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NC 2023-02826) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD418166) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 338628) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 67068) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2023-02826) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME164693) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101254953) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2024-03-07 |