| NPI | 1649370065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-43384) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 21989) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: IA MD-43384) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2016-05-27 |