NPI | 1952437600 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MA 231274) |
Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 231274) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MA L-218011) | |
Enumeration Date | 2007-02-26 |
Last Update Date | 2025-08-05 |