| NPI | 1174748180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: IL 036.173459) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 28776) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.092971) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2025-06-26 |