| NPI | 1427012822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 212718) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MA 212718) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MA 212718) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2018-10-30 |