| NPI | 1013237270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: NY 274780) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD044462) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: DC 2597) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2024-01-03 |