NPI | 1396785127 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2024-0846) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036112528) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01084618A) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 20287) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2019032185) | |
Enumeration Date | 2006-06-08 |
Last Update Date | 2024-11-13 |