NPI | 1174148605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036170813) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5151014716) |
Enumeration Date | 2020-06-10 |
Last Update Date | 2024-07-01 |