| NPI | 1649500158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2011-00255) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NY N/A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 201100255) | |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2022-09-21 |