NPI | 1336130475 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 36161) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IA 36161) |
Enumeration Date | 2005-10-28 |
Last Update Date | 2010-02-12 |