| NPI | 1912936725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME145860) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KS 0431597) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WA MD61083649) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX N1525) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OR MD200313) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MO 2011018253) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NH 20615) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD475785) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI EMC0000390) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 88177) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX N1525) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2024-04-05 |