| NPI | 1992774327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME98776) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301114158) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.125538) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX TM00629) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD171293) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: ND 13909) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 51218) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 28620) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 237686) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 17270) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 24496) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60595011) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2023-01-05 |