| NPI | 1316974249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: TX R1586) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036-122781) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R1586) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-12-23 |