| NPI | 1780008748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.137374) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2019017127) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09823600) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME143270) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01082018A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301500741) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036150936) | |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2022-01-25 |