| NPI | 1972214914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IL 125081094) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AL L.6034F) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-08-25 |