| NPI | 1235225780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO CDRH.0057033) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-067171) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01033169A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G-175604) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME153694) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-52938) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID MC2438) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 24898) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 68919) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX U1594) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101284074) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA IMLC.MD61561045) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 69028) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME MD25913) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-02-27 |