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 | 2023-03-01 |