NPI | 1548624661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A137774) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A137774) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2023-11-10 |