| NPI | 1033362504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: IA MD-41583) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 250996) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IA MD-41583) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2024-02-22 |