| NPI | 1205911096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 048904) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 048904) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C180641) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M-16789) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 33064) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01078984A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2019-1086) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q5841) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 47560) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 44435) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2010-02117) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101054387) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 46648) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 31574) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME117495) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-12-21 |