| NPI | 1336112234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 71744) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036111711) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: GA 71744) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 66643) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 68470) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD439984) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2023-12-01 |