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 |