| NPI | 1356340467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0050778) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036110646) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 37826) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2021-10-08 |