| NPI | 1043702459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD214914) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR0068285) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2023-03089) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 13696619-1235) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD481427) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036163489) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO CDRH.0068285) | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2026-07-21 |