| NPI | 1699914143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MN 78294) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TX S8629) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S8629) | |
| 2084N0600X (Licence: TX S8629) | |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2024-12-19 |