| NPI | 1184078248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34.017146) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 18637) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 02006769A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MB11500700) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 71214) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2022-00966) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 13080-321) | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2025-07-11 |