| NPI | 1487900197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MN 78137) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX Q1038) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q1038) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2024-10-21 |