| NPI | 1689937336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: OK 34444) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IL 036139895) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125061178) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IL 125061178) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 125061178) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2022-07-21 |