| NPI | 1225666571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101286794) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036162608) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IL 036162608) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: VA 0101286794) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2025-10-10 |