| NPI | 1285963793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C171628) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 63778) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD041347) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01098339A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25IA12491300) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 57399) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101276175) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MN 57399) | |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2025-12-16 |