| NPI | 1508898669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 043489) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.139166) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101251118) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 22636) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2025-11-20 |