| NPI | 1013478502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TX 48820) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX TDL4373) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2026-08-18 |