| NPI | 1396037644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: AZ 53953) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: AZ 53953) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AZ 53953) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: AZ 53953) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2022-01-05 |