NPI | 1396744934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MD D0054114) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: DC MD034282) |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX U0717) | |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MI EMC0002637) | |
Enumeration Date | 2005-07-15 |
Last Update Date | 2023-06-08 |