| NPI | 1851719454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CO DR.0063722) |
| Additional Taxonomies | 2084N0600X (Licence: CO DR.0063722) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0063722) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2026-03-03 |