| NPI | 1548466030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 17696) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: GA 76124) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME MD20903) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 265808) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 53028) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-12365) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 58995) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME 107327) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01082475A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 61375-20) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101268081) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM TM2016-0796) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2016-00981) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10746000) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2021-03-18 |