| NPI | 1710187133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 863608) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 36116152) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 16927) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2021-03-11 |