| NPI | 1841425964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: DE C1-0024424) |
| Additional Taxonomies | 2084E0001X (Licence: DE C1-0024424) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD448588) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: PA MD448588) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2023-01-31 |