| NPI | 1992026371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 259954) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 245185) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2020013860) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD472053) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 20579) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME144271) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 88771) | |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2023-08-29 |