| NPI | 1336403237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0091936) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MD DO091936) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2018-01193) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036150058) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2024-05-15 |