| NPI | 1437474301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: SC 40546) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 125058622) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2022-07-21 |