| NPI | 1194998005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME155369) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MA 221868) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 110803) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T9498) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD477974) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.144760) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 22530) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 239205) | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2024-04-05 |