| NPI | 1346248515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M5841) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX M5841) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TX M5841) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2024-02-05 |