NPI | 1538151105 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IA 31180) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: IA 31180) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2007-11-28 |