| NPI | 1811948136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 200401571) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 200401571) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NC 200401571) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NC 200401571) | |
| 2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging (Licence: NC 200401571) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NC 200401571) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: NC 200401571) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NC 200401571) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NC 200401571) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-03-11 |