| NPI | 1093947996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 22969) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125.055841) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C170056) | |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2023-11-07 |