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