| NPI | 1477897940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: PA MD452523) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD452523) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: NJ 25MA10027200) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0116021649) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10027200) | |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2026-06-03 |