| NPI | 1669425740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X (Licence: CA G37260) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: CA G37260) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA G37260) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-11-10 |