| NPI | 1215126032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS11044) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 1357) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34.011930) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ND 13977) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS019718) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA OP60612641) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101023737) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR DO175435) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX TM00635) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 17392) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 292355) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 006805) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 24620) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2020011373) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2024-02-19 |