| NPI | 1356421515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: CA A70580) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA 000000A70580) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2024-09-04 |