| NPI | 1720037278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: FL ME126819) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 191266) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME126819) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-03-30 |