| NPI | 1023366010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036134178) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 63727) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036134178) | |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2023-11-07 |