| NPI | 1245768241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-159984) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301503976) |
| 207R00000X Internal Medicine (Licence: IL 125070566) | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-07-21 |