| NPI | 1497240220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A167333) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2024-02491) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 101951) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 49162) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101283348) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME169938) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA12347000) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 78972) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0028413) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SD 16635) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 330962) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD600001698) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD485968) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0102129) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 92677) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2025-09-29 |