| NPI | 1104033281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0067632) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME139159) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101248367) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NC 2010-02130) | |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: NC 2010-02130) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2010-02130) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-02-01 |