| NPI | 1851553879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: HI 15231) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60694768) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 81707) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD176943) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.135089) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 298923) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 29146) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID MC-0054) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C161297) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301116530) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-15186) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 27787) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 58465) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2023-06-08 |