| NPI | 1134535693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID MC-2451) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2022-01071) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125064787) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2022-01071) | |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2023-11-30 |