NPI | 1053816843 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036159062) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125072547) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2022-06-06 |