| NPI | 1467608943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: MI 4301508445) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036118709) |
| 2084N0600X (Licence: IL 036118709) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2023-01-16 |