NPI | 1710479373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: PA MD484502) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC LL52347) |
Enumeration Date | 2018-05-30 |
Last Update Date | 2024-09-04 |