| NPI | 1225112667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 034147) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 034147) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: KY 44418) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 46696) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME117503) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2010-02036) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: VA 0101045114) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: SC 33050) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01079030A) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2021-03-29 |