| NPI | 1285894501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME133748) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 84880) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-120688) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2013037671) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 70514-20) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01062696A) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2026-04-08 |