| NPI | 1568802148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036148557) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 71351) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MO 2017020334) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2024-01-22 |