| NPI | 1760047518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: MN 79397) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IL 036164918) |
| 2084N0600X (Licence: IL 036164918) | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2025-06-06 |