| NPI | 1881936326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036158556) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.137017) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A147896) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2022-02-02 |