| NPI | 1831199850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 054169) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 19080) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.084165) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME0045046) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2020008863) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301102387) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX R4882) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 26040) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ND 15138) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 54169) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 135704-1) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD190950) | |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2023-08-30 |