| NPI | 1932181849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 52003) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA OP60820270) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ND 15029) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 293343) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX TM00741) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101023736) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-15892) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS8451) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MB05806600) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 79347) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 25759) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 007448) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 3517) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34.009803) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2023-01-27 |