NPI | 1336671338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: IL 036155944) |
Additional Taxonomies | 2084N0600X (Licence: IL 036155944) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2025-08-06 |