| NPI | 1427058858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 200566) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101025740) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: IL 036154523) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: IN 02006261A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MB10956800) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 67106) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A18544) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 73913-21) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2021-12-21 |