| NPI | 1629394390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2013-01879) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 338324) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301117124) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.135496) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 58921) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036148915) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 298877) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD192246) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024024305) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME139942) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101271840) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 19543) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2024-10-16 |