| NPI | 1528085149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NY 179125) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 179125) |
| 2084N0400X Psychiatry & Neurology, Neurology (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 | 2023-03-09 |