| NPI | 1386134856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: KY 59229) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 59229) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX U9823) | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2024-07-22 |