| NPI | 1992810709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 34399) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 33595) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME161894) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2023-01538) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TN 34399) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2024-08-21 |