| NPI | 1154329399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 55311-20) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2012003489) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036106744) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2023-08-30 |