| NPI | 1194160457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2019018718) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01082093A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL NE142955) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-150836) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 291335) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2020-03028) | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2024-02-07 |