| NPI | 1851779318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: GA 94864) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 38051) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 94864) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: GA 94864) | |
| 208D00000X General Practice (Licence: SC 38051) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2024-07-25 |