| NPI | 1861688954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 51590) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 68473) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME134094) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-44744) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 63164) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL MD.32244) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2017042150) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 17231) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MO 2011013362) | |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2020-09-08 |