| NPI | 1801854914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX L2117) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: WI 102027) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01051720A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE CI0006180) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2024-08-29 |