NPI | 1245792308 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A178208) |
Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CA A178208) |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A178208) | |
Enumeration Date | 2019-04-05 |
Last Update Date | 2023-08-02 |