| NPI | 1194923060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.091729) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: OH 35.091729) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: OH 35.091729) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-12-29 |