| NPI | 1295027076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A150996) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL TPME1449) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY IP1305) | |
| 208600000X Surgery (Licence: MA 390200000X) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 17172) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61002536) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01082587A) | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2024-07-17 |