| NPI | 1396033437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NJ 25MA11699900) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2015-00864) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME143061) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: LA 337993) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 53888) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01082180A) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: TN 53888) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: NC 2015-00864) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2025-07-10 |