| NPI | 1558757757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2019043900) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A147040) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01083148A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME143018) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101272681) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2020-02778) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036150014) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61056408) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 333179) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-09-23 |