| NPI | 1376597815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.078345) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO R1P30) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MO R1P30) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MO R1P30) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2021-01-29 |