| NPI | 1447437769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A102603) |
| Additional Taxonomies | 174400000X Specialist |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A102603) | |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2024-04-29 |