| NPI | 1295115822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: OH 35143583) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.143583) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC LL38158) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2024-08-20 |