| NPI | 1871908871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 64218) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CT 64218) |
| 273100000X Epilepsy Unit (Licence: CT 64218) | |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CT 64218) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2023-07-13 |