NPI | 1033436662 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD457821) |
Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: NY 300830-01) |
Enumeration Date | 2010-04-21 |
Last Update Date | 2024-05-14 |