| NPI | 1942469564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 255206) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 69717) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME116827) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0010533) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 41112) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301104051) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0076321) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD206387) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E8096) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P8084) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0052640) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL MD32599) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09328600) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2013-01688) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 22708) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2022-10-06 |