| NPI | 1811912348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CA G88516) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA G88516) |
| 207R00000X Internal Medicine (Licence: NC 9800375) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G88516) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA G88516) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2014-06-20 |