NPI | 1386649093 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-23810) |
Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: KS 04-23810) |
Enumeration Date | 2005-06-17 |
Last Update Date | 2021-04-13 |