| NPI | 1932382827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036169041) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD434405) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 60114) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2024-05-16 |