NPI | 1609213958 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IL 036-142962) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036142962) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2024-11-04 |