| NPI | 1457555773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: PA MD470639) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: AR E-6390) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: AR E-6390) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME130263) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2021-07-28 |