| NPI | 1548592744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: PR 18884) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: PR 18884) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PR 18884) | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2023-12-29 |