| NPI | 1487072245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: FL ME13426) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2021-01752) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 44297) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023017851) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036146539) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-49933) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 92255) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY C0733) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 330900) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 04-46192) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 30235) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T9017) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI EMC0001993) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01090166A) | |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2025-12-09 |