| NPI | 1982049441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: KY TP056) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 300551) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A170989) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036152231) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301500425) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 64136) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10326300) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CT 64136) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101267334) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 71448-20) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY TP056) | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2021-06-09 |