| NPI | 1811100142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 200701902) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: NC 200701902) |
| 2084D0003X Psychiatry & Neurology Diagnostic Neuroimaging (Licence: NC 200701902) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2007-01902) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: NC 200701902) | |
| 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities (Licence: NC 200701902) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: NC 200701902) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: NC 200701902) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2025-03-10 |