| NPI | 1689962441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C188058) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61530989) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 29725) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD458144) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI LP02757) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 81287) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01089863A) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2024-08-05 |