| NPI | 1760579346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 56321) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-107017) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A60121) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-07-21 |