| NPI | 1346478567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CA A116433) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A116433) |
| 2084N0600X (Licence: CA A116433) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2015-09-11 |