| NPI | 1578023180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: WA MD70036148) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WA MD70036148) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD70036148) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2026-01-22 |