NPI | 1447415526 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MI 4301110967) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 16014) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301110967) | |
Enumeration Date | 2008-07-28 |
Last Update Date | 2016-09-28 |