| NPI | 1851379408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 34171) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 34171) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NV 7326) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 7326) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: SC AL34171) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC AL34171) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2023-03-07 |