| NPI | 1801276571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 76172) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61085373) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WA MD61085373) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036156696) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036156696) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01085984A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A150189) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME150298) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2026-03-02 |