| NPI | 1629202056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0058072) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MD D0058072) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: TX G7917) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: VA 0101232040) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: DC MD33451) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX G7917) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101232040) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD33451) | |
| 2084N0600X (Licence: MD D0058072) | |
| 2084N0600X (Licence: TX G7917) | |
| 2084N0600X (Licence: VA 0101232040) | |
| 2084N0600X (Licence: DC MD33451) | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |