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 | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.096508) |
2084E0001X Psychiatry & Neurology, Epilepsy (Licence: IL 036141882) | |
208000000X Pediatrics (Licence: IA 35530) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-141882) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.096508) | |
Enumeration Date | 2005-11-29 |
Last Update Date | 2024-10-02 |