| NPI | 1639639479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 74074) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: AZ 74074) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-07-31 |