NPI | 1851719454 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CO DR.0063722) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0063722) |
2084N0600X (Licence: CO DR.0063722) | |
Enumeration Date | 2014-04-01 |
Last Update Date | 2025-08-28 |