| NPI | 1295155117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NH 20467) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036.145554) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2020-06-11 |