| NPI | 1841254703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D28483) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 045621) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036068498) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 025811) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D28483) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 045621) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036068498) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 025811) | |
| Enumeration Date | 2006-04-16 |
| Last Update Date | 2007-07-08 |