Individual
Inactive
Individual
Inactive
Sole proprietor
Provider details
NPI number
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
48098
MN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME105958
FL
2084N0600X
Clinical Neurophysiology Physician
ME105958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101743100
—
FL
Enumeration date
—
Last updated
—
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