NPI | 1255644779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IL 036134471) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036134471) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01075291A) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11156700) | |
Enumeration Date | 2010-07-26 |
Last Update Date | 2021-12-29 |