| NPI | 1669693081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: NV 12377) |
| Additional Taxonomies | 2084D0003X Psychiatry & Neurology Diagnostic Neuroimaging (Licence: NV 12377) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NV 12377) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-05-22 |