| NPI | 1558948281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: CA 20A24081) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A24081) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125.078295) | |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2026-07-02 |