| NPI | 1508971920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0062527) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T3430) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 88683) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD195881) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 20625) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD477181) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2020003930) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2024-04-05 |