| NPI | 1821485863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 12369407-1205) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.166293) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 12369407-1205) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-03-07 |