| NPI | 1043877327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD491147) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CA A187439) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A187439) | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2025-10-01 |