NPI | 1932152360 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A63570) |
Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CA A63570) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A63570) | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2023-11-09 |