| NPI | 1043695810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036148895) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY TP354) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2025-05-27 |