| NPI | 1760461305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 040159) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 077235) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036174792) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2025-09-15 |