| NPI | 1386969079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WI 67056-20) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036145300) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 67056-20) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IL 036145300) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2021-12-08 |