| NPI | 1710915368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 6062) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 6062) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 89091) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0052224) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M-12191) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX G4477) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME110825) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 49700) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036140093) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT MED-PHYS-LIC-41339) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM TM2016-0132) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 8581120-1205) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WY 9571A) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2017-04-07 |