| NPI | 1578806691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A135142) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A135142) | |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CA A135142) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2024-11-18 |