| NPI | 1982994448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: TX Q7538) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX Q7538) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: TX 557756) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2024-01-10 |