| NPI | 1356541320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA08923500) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2016036713) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD70005369) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101269735) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 77639) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME130246) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2016-02190) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 51987) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NC 2016-02190) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01074654A) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2025-09-10 |