| NPI | 1003133315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S7310) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: WI 76431-20) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11291900) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.158678) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C175255) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301505705) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101280535) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX S7310) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2024-08-09 |