| NPI | 1326459553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036147689) |
| Additional Taxonomies | 2084N0600X (Licence: IL 036147689) |
| 208D00000X General Practice (Licence: IL 036147689) | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2023-10-04 |