| NPI | 1639155716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: TN 41292) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 29833) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 41292) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2021-03-26 |