NPI | 1720372576 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CA A152405) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A152405) |
Enumeration Date | 2011-06-08 |
Last Update Date | 2023-11-10 |