| NPI | 1922398726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX R9344) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 83932) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 65648-20) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A136430) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101260769) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 58942) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0116023866) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD457634) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME141568) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 52989) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2018-01632) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD177000) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2023-04-24 |