| NPI | 1942293881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: NJ 25MA08582700) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD423879) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA08582700) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2023-12-14 |