| NPI | 1306169487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NJ 25MA09341600) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01082546A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 89276) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME148775) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 21862) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 96922) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2021044671) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NH 21862) | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2023-08-29 |