| NPI | 1942798723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CO CDRH.0063431) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-164143) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2024-02-01 |