| NPI | 1184952954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MO 2015038376) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KS 04-38592) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MO 2015038376) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: KS 04-38592) | |
| Enumeration Date | 2009-12-06 |
| Last Update Date | 2024-02-01 |