| NPI | 1356683874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 339974) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023050255) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 278288) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036168200) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS20507) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MB12008100) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0102208245) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2023-03032) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 5411) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NC 2023-03032) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036168200) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2024-06-28 |