| NPI | 1982923785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q9271) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244435) |
| 2084N0600X (Licence: TX Q9271) | |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TX Q9271) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2026-06-15 |