| NPI | 1962434233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN MD0000036109) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2007-00084) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M9445) | |
| 2084N0600X (Licence: VA 0101245665) | |
| 2084N0600X (Licence: GA 062545) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC MD29116) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01061735A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 39956) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 00027401) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD.202398) | |
| 2084N0600X (Licence: NY 252283) | |
| 2084N0600X (Licence: MD D0068881) | |
| 2084N0600X (Licence: PA MD436801) | |
| 2084N0600X (Licence: CT 047547) | |
| 2084N0600X (Licence: WA MD60079043) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-05-06 |