| NPI | 1790099380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q9061) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TX Q9061) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX Q9061) | |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2025-02-06 |