| NPI | 1972959294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: SC 91230) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: TN 63367) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 63367) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2023-12-18 |