| NPI | 1003975897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036073545) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 28511) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 296649) | |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2021-03-31 |