| NPI | 1679542880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.074602) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MN 67037) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MN 67037) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: OH 35.074602) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-06-10 |