| NPI | 1356766786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME151440) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CA A159751) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.138990) | |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2021-09-14 |