| NPI | 1154513687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301116960) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-132058) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036-132058) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2021-10-20 |