| NPI | 1659474526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: GA 16228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 016228) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 016228) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: GA 016228) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-01-11 |