| NPI | 1174529085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME126918) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036093821) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036093821) | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2016-11-18 |