| NPI | 1356875736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024012104) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: WA 61254901) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA 61254901) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2024-00610) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: WA 61254901) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2024-07-12 |