| NPI | 1215179767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 03612548) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 13409) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MD D96474) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA C54987) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2016-00825) | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2025-06-18 |