| NPI | 1699099358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CO DR.0071204) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A109219) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT MED-PHYS-LIC-131841) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2025-00131) | |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: NC 2025-00131) | |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CA A109219) | |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2025-05-06 |