| NPI | 1750757209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IL 036.167227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD458603) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: MI 4301504334) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2024-07-16 |