NPI | 1497044093 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 56421) |
Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: LA 301941) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 301941) | |
Enumeration Date | 2011-04-04 |
Last Update Date | 2019-08-12 |