NPI | 1679004006 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A162104) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: CA A162104) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2023-08-24 |