| NPI | 1447366349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: HI MD-10542) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0065895) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME153565) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2021-0447) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: VA 48556) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2022-08-23 |