| NPI | 1801159611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CA c187602) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101264640) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C187602) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: DC MD046311) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: VA 0101264640) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2024-07-26 |