| NPI | 1285638759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036084568) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036084568) |
| Enumeration Date | 2005-06-12 |
| Last Update Date | 2025-07-30 |