| NPI | 1326294562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A132506) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10886800) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 53473) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-11775) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 24288) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NJ 25MA10886800) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA A132506) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2022-02-15 |