| NPI | 1205000239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60502147) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A120368) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ E-9389) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 15545) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q2939) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 53712) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 52179) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC MD37652) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 57094) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM TM2014-0671) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 1988834) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2023-12-11 |