| NPI | 1003836081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X (Licence: AZ 52554) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 52554) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036116388) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-09-23 |