NPI | 1619923455 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301079672) |
Additional Taxonomies | 2084N0600X (Licence: MI 4301079672) |
2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MI 4301079672) | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2025-07-18 |