NPI | 1346260247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: OR MD205738) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD476184) |
2084N0400X Psychiatry & Neurology Neurology (Licence: UT 187597-1205) | |
2084N0400X Psychiatry & Neurology Neurology (Licence: NH 21619) | |
2084N0400X Psychiatry & Neurology Neurology (Licence: MT 99622) | |
2084N0400X Psychiatry & Neurology Neurology (Licence: GA 89191) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2023-01-03 |