NPI | 1326898289 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125.084517) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.084517) |
Enumeration Date | 2024-03-25 |
Last Update Date | 2025-06-25 |