| NPI | 1982658738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MO 2021049178) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OR MD181780) |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: OR MD181780) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD181780) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-09-14 |