NPI | 1700179231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME133261) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01077341) |
2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301114045) | |
2084N0400X Psychiatry & Neurology Neurology (Licence: TX TM00742) | |
2084N0400X Psychiatry & Neurology Neurology (Licence: NH 18581) | |
2084N0400X Psychiatry & Neurology Neurology (Licence: ND 15031) | |
2084N0400X Psychiatry & Neurology Neurology (Licence: OH 35.132401) | |
2084N0400X Psychiatry & Neurology Neurology (Licence: OR MD185702) | |
2084N0400X Psychiatry & Neurology Neurology (Licence: MS 25602) | |
2084N0400X Psychiatry & Neurology Neurology (Licence: NY 296247) | |
Enumeration Date | 2011-05-17 |
Last Update Date | 2022-04-07 |