NPI | 1477522407 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME93755) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME93755) |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: FL ME93755) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 056495) | |
Enumeration Date | 2006-03-14 |
Last Update Date | 2010-08-05 |