| NPI | 1578907671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: WA 1578907671) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR.0058235) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TX BP10047662) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA 61345139) | |
| Enumeration Date | 2013-04-20 |
| Last Update Date | 2023-10-30 |