| NPI | 1023376951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-142725) |
| Additional Taxonomies | 2084N0600X (Licence: IL 036-142725) |
| Enumeration Date | 2012-04-28 |
| Last Update Date | 2025-05-05 |