| NPI | 1770842874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: PA MD458436) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD458436) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2025-06-13 |