| NPI | 1396754701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: PA MD450360) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: MD MDD0062282) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MD MDD0062282) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-11-07 |