| NPI | 1346635380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A160013) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 305230) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036163913) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2023028370) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2024-01-15 |