| NPI | 1730159385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NV 14137) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: NV 14137) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 36035) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2023-09-06 |