| NPI | 1063426369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 0424788) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KS 0424788) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: KS 0424788) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2021-12-03 |