NPI | 1457377673 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MO 115434) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 115434) |
2084N0600X (Licence: MO 115434) | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2025-04-17 |