| NPI | 1922094960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35070677) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: OH 35.070677) |
| 2084N0600X (Licence: OH 35.070677) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2025-11-17 |