| NPI | 1962845073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A134843) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA A134843) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-158092) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2026-07-02 |