| NPI | 1326085028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101264395) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301055147) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MI 4301055147) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-12-09 |