| NPI | 1821101742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036108165) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G88720) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 46414) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301504704) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01072076A) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME82452) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2024-02-09 |