| NPI | 1003818733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036111221) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2009027338) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: OH 35-08-6697-K) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OH 35.086697) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2023-03-13 |