| 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 |