| NPI | 1285876979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.130084) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: IL 036130084) |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: IL 036130084) | |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2021-03-18 |