| NPI | 1689985962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX R7455) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125058133) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TX R7455) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036134323) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C166062) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 36134323) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 35837) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME120555) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2023-08-10 |