| NPI | 1265817910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.155695) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA A162566) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MT209007) | |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2021-05-19 |