| NPI | 1366461295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036077638) |
| Additional Taxonomies | 2084N0600X (Licence: IL 036-077638) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-04-28 |