NPI | 1427140391 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC 19276) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: DC 19276) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2013-12-23 |