| NPI | 1043423874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TN 68959) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 12462) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 68959) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-10-08 |