NPI | 1477580926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 325013-1205) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: UT 325013-1205) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2021-11-12 |