| NPI | 1588748388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: AZ 10341) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 10341) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-03-19 |