| NPI | 1023086642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: IL 36090902) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 36090902) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2021-04-15 |