| NPI | 1225483035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO CDRH.0059327) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.176814) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CO CDRH.0059327) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2025-11-10 |