| NPI | 1093942708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX R8399) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10748100) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2020-00359) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 53629) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 85242) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME143887) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.147196) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 60150) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01083155A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2010003410) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101269138) | |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2022-03-18 |