| NPI | 1497733174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 37701) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: AZ 37701) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: AZ 37701) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2012-09-18 |