| NPI | 1447747787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: AZ 77173) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 77173) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2023-0294) | |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2025-11-25 |