| NPI | 1972041028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S8995) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-176879) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: TX S8995) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2026-01-22 |