| NPI | 1871756809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TX N9453) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX N9453) |
| 2084N0600X (Licence: TX N9453) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX N9453) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-11-15 |