| NPI | 1356574313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036132710) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 125056741) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2022-06-02 |