| NPI | 1891082293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA 60752892) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 280806) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL TPME221) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 86502) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01084839A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2020-03742) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 60792) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 54481) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101269809) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2022-03-04 |