NPI | 1841395902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 39574) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: KY 38855) |
2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: KY 38855) | |
Enumeration Date | 2006-09-14 |
Last Update Date | 2015-07-13 |