| NPI | 1982959979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 291523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT-202966) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME142951) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2019011482) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101272731) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2020-03430) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036150631) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10254900) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A142483) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01081940A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 334240) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2024-05-30 |