| NPI | 1902814957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 63398) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036056609) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.056609) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2024-01-08 |