| NPI | 1992799472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX G2778) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: TX G2778) |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: TX G2778) | |
| 2084D0003X Psychiatry & Neurology Diagnostic Neuroimaging (Licence: TX G2778) | |
| 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: TX G2778) | |
| 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: TX G2778) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: TX G2778) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2013-01-15 |