| NPI | 1609069111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NH 16005) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 264422) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 16005) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2019-07-02 |