| NPI | 1568740546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036137250) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IN 01089364A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301501035) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 37289) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10736400) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2023-10-03 |