| NPI | 1225599640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MB12065600) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: NY 332041-01) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 332041-01) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2025-01-21 |