NPI | 1891095964 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A129993) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A129993) |
Enumeration Date | 2010-10-23 |
Last Update Date | 2016-12-13 |