| NPI | 1770212581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-55079) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: IA MD-55079) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2025-09-10 |