| NPI | 1265013619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-171744) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125-078946) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301514850) | |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2025-10-02 |