NPI | 1881045573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MO 2022006414) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2022006414) |
Enumeration Date | 2016-06-24 |
Last Update Date | 2025-04-17 |