| NPI | 1396302006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NE 37006) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: NE 37006) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2026-04-16 |