NPI | 1841286994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 055487) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35076214) |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: AR E-6501) | |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CT 055487) | |
Enumeration Date | 2005-09-23 |
Last Update Date | 2022-09-29 |