| NPI | 1073042727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-159149) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125070942) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IL 036159149) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-08-21 |