| NPI | 1427439801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD204048) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036172747) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA A147767) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO CDRH.0066252) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2025-09-30 |