| NPI | 1700870508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX H2098) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H2098) |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: TX H2098) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX H2098) | |
| 2084D0003X (Licence: TX H2098) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: TX H2098) | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: TX H2098) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX H2098) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2013-01-15 |