| NPI | 1942479803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: VA 0101260345) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MD D0066693) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0066693) | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2016-08-18 |