| NPI | 1881856078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 73648) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 237037) |
| 2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging (Licence: NY 264179) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 264179) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 158060) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 53133) | |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2023-09-13 |