NPI | 1669839429 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: VA 0102207907) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 18269) |
Enumeration Date | 2016-01-25 |
Last Update Date | 2024-03-29 |