| NPI | 1982852166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: TX P2678) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: TX P2678) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: TX P2678) | |
| Enumeration Date | 2008-08-30 |
| Last Update Date | 2023-09-07 |