NPI | 1316904170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MO R6F48) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO R6F48) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036068376) | |
Enumeration Date | 2006-04-27 |
Last Update Date | 2023-03-20 |