NPI | 1760648760 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IL 036-120372) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036120372) |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036-120372) | |
Enumeration Date | 2008-07-30 |
Last Update Date | 2017-09-21 |