| NPI | 1699736165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35087257) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OH 35087257) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: OH 35087257) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2022-11-30 |