| NPI | 1568546679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: TN 18635) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 18635) |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: TN MD18635) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-03-23 |