| NPI | 1295115079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 03614967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066583) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2022-03-24 |