NPI | 1649657651 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-159975) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA R-10188) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A156692) | |
Enumeration Date | 2015-04-28 |
Last Update Date | 2022-08-16 |