| NPI | 1639304488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2022-00512) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD040783) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2014007820) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: DC MD040783) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036142494) | |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2024-02-27 |