| NPI | 1356875736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MO 2024012104) |
| Additional Taxonomies | 2084E0001X (Licence: WA 61254901) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME167370) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: WA 61254901) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2024-00610) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036.169354) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01092935A) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MS 33801) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: VA 0101281448) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NV 26243) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NJ 25MA12260400) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: OR MD220784) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 83574-20) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: WA 61254901) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2025-06-05 |