NPI | 1811488455 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2024-01310) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 71288) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024032609) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME169008) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 326381) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 101754) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 341425) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101282560) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD220760) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61554733) | |
Enumeration Date | 2018-05-18 |
Last Update Date | 2025-08-26 |