NPI | 1376579318 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI MD10439) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: RI MD10439) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2018-10-05 |