| NPI | 1447381728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036150686) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2019-0906) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 66290) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M7461) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0062505) | |
| 2084N0600X (Licence: MN 66290) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2025-01-09 |