| NPI | 1396858965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G43695) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA G43695) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CA G43695) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2011-08-22 |