| NPI | 1861834152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125063900) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 68336) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME131961) | |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2023-06-05 |