| NPI | 1447614276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: CA A152641) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA 152641) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2024-09-04 |