| NPI | 1164530804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: IL 036-088638) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036088638) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-088638) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2022-08-26 |