| NPI | 1962615377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS19550) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NC 2023-01747) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023032004) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT MED-PHYS-LIC-12031) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 02007034A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WY 8965A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY C1133) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 334022) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0102208139) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 31692) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036162768) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34.008935) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 3048) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2023-01747) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-04-16 |