| NPI | 1891806782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AR N-6906) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036144727) |
| 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: AR N-6906) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-10-24 |