| NPI | 1104055169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036138197) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-12706) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 27190) | |
| 207R00000X Internal Medicine (Licence: MN 53173) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 51373) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 59586) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2020-04-08 |