| NPI | 1801154695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: WA 60652306) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A126449) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD181184) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2022-08-23 |