NPI | 1922597012 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MA 291110) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 291110) |
Enumeration Date | 2018-05-04 |
Last Update Date | 2024-08-21 |