| NPI | 1184815870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IL 036.121161) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-049523) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2022-04-20 |