| NPI | 1265776165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: IL 036160795) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IA MD-47371) |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: IA MD-47371) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2024-03-05 |