| NPI | 1699891234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NV 13511) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A106708) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-06607) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 13511) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-08-11 |