| NPI | 1831550243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: KY 1938) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KY 53165) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: KY 53165) | |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2024-08-22 |