| NPI | 1003365875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036178188) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: PA MD470752) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IL 036178188) | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2026-06-03 |