| 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 |