| NPI | 1144203753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: IL 036141882) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 35530) |
| 2084E0001X (Licence: IL 036141882) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036-141882) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: OH 35.096508) | |
| 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: IN 01097607A) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: OH 35.096508) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2025-09-02 |