| NPI | 1326100660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301090561) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: MI 4301090561) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NJ 25MA10779900) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 72703-20) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MD D64711) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036136691) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 302109) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: IL 036-136691) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2023-09-11 |