| NPI | 1992909667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-120124) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A93145) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CA A93145) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2021-02-11 |