| NPI | 1295048833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NC 2015-00632) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 53730) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11033700) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 85404) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 60386) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01083737A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME120081) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101269442) | |
| Enumeration Date | 2010-07-25 |
| Last Update Date | 2021-12-28 |