| NPI | 1871511238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NY 203356) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01086705A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 203356) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-10-17 |