NPI | 1245709062 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.164830) |
Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IL 036.164830) |
Enumeration Date | 2018-11-21 |
Last Update Date | 2025-08-25 |