| NPI | 1831308329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: VA 0101254678) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101254678) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D75597) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD441939) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-01-07 |