NPI | 1831171438 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VT 042-0009285) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: VT 042-0009285) |
Enumeration Date | 2005-11-18 |
Last Update Date | 2021-04-27 |