| NPI | 1386088698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A133050) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 299383-1) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0062481) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301500468) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S7309) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2020-0551) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10622200) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 83355) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC MD82910) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2025-11-03 |