NPI | 1740238856 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA G144358) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: CA G144358) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2020-04-03 |