| NPI | 1770993339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 94564) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10050685) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX BP20054685) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX BP20054685) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: GA 94564) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2024-10-30 |