| NPI | 1508097395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: WV WV26250) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: WV WV26250) |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: WV WV26250) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: WV WV26250) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2023-09-01 |