| NPI | 1720368152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: TX Q8201) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q8201) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2020-11-06 |