| NPI | 1295920320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 93634) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: SC 86829) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CA 912984) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: VA 0101276750) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P1777) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD206656) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.097878) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01085541A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 912984) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 42815) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA 158833) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101276750) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2024-08-29 |