| NPI | 1093074122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME160348) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A134968) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2023031506) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036166412) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA A134968) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036166412) | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2023-10-16 |