| NPI | 1740547496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NC 2017-01926) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MT 91668) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MT 91668) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2024-12-09 |