| NPI | 1396916037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX p6608) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036127974) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IL 036127974) | |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2023-02-21 |