NPI | 1528085149 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 179125) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 179125) |
2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NY 179125) | |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 179125) | |
2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: NY 179125) | |
209800000X Legal Medicine (Licence: NY 179125) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2024-11-21 |