| NPI | 1679540025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: AZ 36122) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 15416) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 58773) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 63240) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 36122) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2024-07-31 |