| NPI | 1922115609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: AZ 37004) |
| Additional Taxonomies | 2084N0600X (Licence: AZ 37004) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AZ 37004) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2026-06-03 |