| NPI | 1104273184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A163944) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 111524) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD230957) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101289250) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 352403) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME181949) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01100260A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2026-03106) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD.70139263) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 29604) | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2026-07-28 |