NPI | 1265426647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: OH 35080593) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35080593) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35080593) | |
Enumeration Date | 2005-08-31 |
Last Update Date | 2022-11-30 |