| NPI | 1508970948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KS 04-40317) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: KS 04-40317) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2024-09-19 |