| NPI | 1851475859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NV 20687) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 20687) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G86054) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NV 20687) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2021-01-27 |