| NPI | 1902841273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036.056869) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036-056869) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301100015) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2018-12-22 |