| NPI | 1497066997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NM MD2017-0142) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101278822) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036165293) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME163513) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 336856) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2023-02718) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 68943) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036165293) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NC 2023-02718) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-06-14 |