NPI | 1932635539 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101274323) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A159636) |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IL 036162659) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036162659) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 76568) | |
Enumeration Date | 2017-05-03 |
Last Update Date | 2023-07-05 |