NPI | 1992147847 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: DC MD047323) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 62121) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD047323) | |
Enumeration Date | 2013-07-20 |
Last Update Date | 2025-04-16 |