NPI | 1659806610 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CA A173650) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A173650) |
Enumeration Date | 2017-04-27 |
Last Update Date | 2024-09-25 |