| NPI | 1497741334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO R4E31) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 0420208) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA07795700) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 26499) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AK 5179) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 33348) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME89774) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 229989) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD422625) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101235678) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 041888) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 200301362) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN MD0000037632) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM T20030616) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0060654) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2022-02-16 |