| NPI | 1184653487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CA C206523) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 237703) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C206523) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2026-03-20 |