NPI | 1265588842 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: WA MD60265929) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60265929) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2024-12-18 |