NPI | 1831416262 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX R7331) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: TX R7331) |
Enumeration Date | 2010-04-25 |
Last Update Date | 2024-05-23 |