NPI | 1528556446 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MA 291136) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 64456) |
Enumeration Date | 2018-04-26 |
Last Update Date | 2025-05-08 |