NPI | 1366646879 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 50637) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036158130) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2025024854) | |
Enumeration Date | 2007-06-11 |
Last Update Date | 2025-09-28 |