NPI | 1013436500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125.079489) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.079489) |
Enumeration Date | 2017-09-15 |
Last Update Date | 2023-06-06 |