| NPI | 1740548866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 18918) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 66798) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX R4801) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH EL07411) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.149129) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME137271) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA 141897) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: WA 60776019) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 291204) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: AR T2017-190) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NM MD2019-0214) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NC 2017-01986) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MO 2017031976) | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2022-08-03 |