| NPI | 1518372879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CO DR.0068753) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0068753) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC LL36725) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2024-10-22 |