| NPI | 1881943256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301500203) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: AR E-12548) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 266021) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-12548) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C175430) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 84632) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.158790) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2018-02682) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11301000) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 296492) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 75945-20) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 19314) | |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2022-01-20 |