| NPI | 1154880110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: FL OS22903) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD H0097562) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS22903) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2026-04-14 |