| NPI | 1396053708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036145665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097202) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 83341) | |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2022-10-21 |