| NPI | 1265556898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 43409) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA08692000) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 68137) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 1.050511) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A119996) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC MMD.34404) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0074495) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD429359) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD155832) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 51738) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL 114674) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 256591-1) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S3809) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 44852) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PR 19613) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2025-08-06 |