| NPI | 1477948438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CO DR.0066852) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D87965) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CO DR.0066852) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2021-12-07 |