NPI | 1699003418 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036141980) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 252321) |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD446228) | |
Enumeration Date | 2009-12-07 |
Last Update Date | 2017-03-23 |