| 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 | 2025-06-16 |